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General NPI Number Information
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NPI Number | 1427108042
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Entity Type | Individual
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Provider Name | STEVEN J WENDT D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 157 1ST AVE S
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City | PERHAM
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State | MN
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Zip | 56573-1701
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Country | US
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Telephone | 218-346-3560
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Fax | 218-346-9376
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Provider Business Mailing Address
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Address Line | 157 1ST AVE S
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City | PERHAM
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State | MN
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Zip | 56573-1701
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Country | US
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Telephone | 218-346-3560
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Fax | 218-346-9376
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1537
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License Number State | MN
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